Active NPI
William Scott Wooddell, DPM
- Foot & Ankle Surgery Podiatrist
- Chesapeake, VA
National Provider Identifier
1679546014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103000785
- Practice address
- 300 Medical Parkway
Suite 303
Chesapeake, VA 23320-4516 - Phone
- (757) 436-5824
- Fax
- (757) 548-4048
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103000785 | VA | Primary |
Addresses
Primary practice location
300 Medical Parkway
Suite 303
Chesapeake, VA 23320-4516
Mailing address
1417 Battlefield Blvd N
Suite 100
Chesapeake, VA 23320-4516
Phone (757) 436-5824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9330445 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103000785 | VA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1679546014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 BATTLEFIELD BLVD N",
"address_2": "SUITE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204516",
"telephone_number": "757-436-5824",
"fax_number": "757-548-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL PARKWAY",
"address_2": "SUITE 303",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204516",
"telephone_number": "757-436-5824",
"fax_number": "757-548-4048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODDELL",
"first_name": "WILLIAM",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103000785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9330445",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.